ORCID Profile
0000-0002-4768-9680
Current Organisation
Griffith University Griffith Business School
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Organisational Planning And Management | Health Care Administration | Business and Management | Innovation And Technology Management
Health and support services not elsewhere classified | Technological and organisational innovation | Management |
Publisher: Emerald
Date: 30-10-2009
DOI: 10.1108/14777260911001653
Abstract: This article aims to examine tensions between hybrid clinician managers' professional values and health care organisations' management objectives. Data are from interviews conducted with, and observation of, 14 managerial participants in a Cancer Therapy Unit set in a large teaching hospital in New South Wales, Australia, who participated in a Clinical Leadership Development Program. The data indicate that there are tensions experienced by members of the health care organisation when a hybrid clinician manager appears to abandon the managerial role for the clinical role. The data also indicate that when a hybrid clinician manager takes on a managerial role other members of the health care organisation are required concomitantly to increase their clinical roles. Although the research was represented by a small s le and was limited to one department of a health care organisation, it is possible that other members of health care organisations experience similar situations when they work with hybrid clinician managers. Other research supports the findings. Also, this paper reports on data that emerged from a research project that was evaluating a Clinical Leadership Development Program. The research was not specifically focused on organisational professional conflict in health care organisations. This paper shows that the role of the hybrid clinician manager may not bring with it the organisational effectiveness that the role was perceived to have. Hybrid clinician managers abandoning their managerial role for their clinical role may mean that some managerial work is not done. Increasing the workload of other clinical members of the health care organisation may not be optimal for the health care organisation. Organisational professional conflict, as a result of hybridity and ergent managerial and clinical objectives, can cause conflict which affects other organisational members and this conflict may have implications for the efficiency of the health care organisation. The extension or duality of organisational professional conflict that causes interpersonal or group conflict in other members of the organisation, to the authors' knowledge, has not yet been researched.
Publisher: Hindawi Limited
Date: 05-03-2015
DOI: 10.1111/HSC.12212
Abstract: Family plays a vital role in supporting in iduals with dementia to reside in the community, thus delaying institutionalisation. Existing research indicates that the burden of care-giving is particularly high for those caring for a person with dementia. Yet, little is known about the uptake of community services by people with a diagnosis of dementia. Therefore, this study aims to better understand the relationship between cognitive impairment and the receipt of community care services. In order to examine the relationship, secondary data collected across Queensland, Australia, from 59,352 home-care clients aged 65 and over during 2007-2008 are analysed. This cross-sectional study uses regression analyses to estimate the relationship between cognitive impairment and service mix, while controlling for socio-demographic characteristics. The dependent variables include formal services, informal care and total home-care service hours during a 12-month period. The findings of this study demonstrate that cognitive impairment is associated with accessing more hours of respite and day centre care but fewer hours of other formal care services. Additionally, the likelihood of support from an informal caregiver increases when a client becomes cognitively impaired. Therefore, this study demonstrates that there is an increased need for respite programmes to support informal caregivers in the future, as the population of people living with dementia increases. These findings support the need for investigations of new and innovative respite models in the future.
Publisher: Elsevier BV
Date: 10-2019
DOI: 10.1016/J.PMN.2019.01.004
Abstract: Pain in people with dementia is a common occurrence. Providing evidence-based pain management for people with dementia in residential aged care services is imperative to providing quality care. However, it remains unclear from current research how various aged care staff (Registered Nurses (RNs), Enrolled Nurses (ENs), Personal Care Assistants (PCAs)) engage at specific points of the pain management pathway. With structural changes to the residential aged care workforce over the past two decades, understanding the relative contributions of these aged care staff to pain management practices is crucial for future practice development. To investigate the quality and completeness of pain documentation for people living with dementia, and assess the extent to aged care staff are engaged in documentation processes. A three-month retrospective documentation audit. The audit was conducted on the files of 114 residents with moderate to very severe dementia, across four Australian residential aged care facilities. Data was collected on each resident's pain profile (n=114). One hundred and sixty-nine (169) pain episodes were audited for quality and completeness of pain documentation and the extent to which aged care staff (RNs/ENs and PCAs) were engaged in the documentation of pain management. Twenty-nine percent of pain episodes had no documentation about how resident pain was identified and only 22% of the episodes contained an evidence-based (E-B) assessment. At least one intervention was documented for 89% of the pain episodes, the majority (68%) being non-pharmacological. Only 8% of pain episodes had an E-B evaluation reported. Thirteen percent (13%) of episodes contained information across all four pain management domains (Identification/ problems, assessment, intervention and evaluation). Documentation by PCAs was evident at all points in the pain management pathway. PCAs were responsible for considerately more episodes of assessment (50% vs 18%) compared to nursing staff. Despite the high prevalence of pain in people with dementia in aged care settings, current pain management documentation does not reflect best practice standards. Future capacity building initiatives must engage PCAs, as key stakeholders in pain management, with support and clinical leadership of nursing staff.
Publisher: Elsevier BV
Date: 08-2018
DOI: 10.1016/J.HEALTHPOL.2018.06.006
Abstract: The Triple Aim framework is an increasingly popular tool for designing and assessing quality improvements in the health care sector. We systematically reviewed the empirical evidence on the application of the Triple Aim framework within primary healthcare settings since its inception almost a decade ago. Results show that primary healthcare providers varied in their interpretation of the Triple Aim framework and generally struggled with a lack of guidance and an absence of composite sets of measures for performance assessment. Greater clarity around application of the Triple Aim framework in primary healthcare is needed, especially around the selection and implementation of purposeful measures from locally available data. This review highlights areas for improvement and makes recommendations intended to guide future applications of the Triple Aim in the context of primary healthcare.
Publisher: Emerald
Date: 13-05-2014
Publisher: Wiley
Date: 20-07-2018
Publisher: MDPI AG
Date: 02-03-2023
Abstract: Few intergenerational programs have focused on virtual learning. This paper explores the impact that a virtual intergenerational learning program had on primary school students and older adults at a residential aged care home. This study reports on the findings from a single case study design involving interactions across two sites, consisting of primary school students (n = 41), teachers (n = 2), a principal (n = 1), plus elders (n = 9) and staff (n = 4) from an aged care home. Questionnaires were completed by all participants, except for the school principal. Observations of the program interactions were captured via video ethnography. Data were also evaluated from semi-structured interviews of students (n = 16), parents (n = 2), teachers (n = 2), a principal (n = 1), elders (n = 9) and staff (n = 5) from the aged care home. The findings reveal that intergenerational programs must pay close consideration to the planned activities, participant characteristics, learning environment, equipment, and facilitator interactions and skills, particularly in a virtual space. In addition, this study finds continued evidence for the success of virtual intergenerational practice programs to reduce social isolation and exclusion, especially when we practice social distancing.
Publisher: Cold Spring Harbor Laboratory
Date: 07-08-2020
DOI: 10.1101/2020.08.05.20169185
Abstract: In increasingly constrained health and aged care services, strategies are needed to improve quality and translate evidence into practice. In dementia care, recent failures in quality and safety have led the World Health Organisation to prioritise the translation of known evidence into practice. While quality improvement collaboratives have been widely used in healthcare, there are few ex les in dementia care. We describe a recent quality improvement collaborative to improve dementia care across Australia and assess the implementation outcomes of acceptability and feasibility of this strategy to translate known evidence into practice. A realist-informed process evaluation was used to analyse how, why and under what circumstances a quality improvement collaborative built knowledge and skills in clinicians working in dementia care. This realist-informed process evaluation developed, tested, and refined the program theory of a quality improvement collaborative. Data were collected pre-and post-intervention using surveys and interviews with participants (n=24). A combined inductive and deductive data analysis process integrated three frameworks to examine the context and mechanisms of knowledge and skill building in participant clinicians. A refined program theory showed how and why clinicians built knowledge and skills in quality improvement in dementia care. Seven mechanisms were identified: motivation, accountability, identity, collective learning, credibility, and reflective practice. Each of these mechanisms operated differently according to context. A quality improvement collaborative designed for clinicians in different contexts and roles was acceptable and feasible in building knowledge and skills of clinicians to improve dementia care. A supportive setting and a credible, flexible, and collaborative process optimises quality improvement knowledge and skills in clinicians working with people with dementia. Australian and New Zealand Clinical Trials Registry 21 February 2018 (ACTRN 12618000268246)
Publisher: Emerald
Date: 06-10-2014
Abstract: – The purpose of this paper is to call for strong medical co-leadership in transforming the Australian health system. The paper discusses how Health LEADS Australia, the Australian health leadership framework, offers an opportunity to engage medical clinicians and doctors in the leadership of health services. – The paper first discusses the nature of medical leadership and its associated challenges. The paper argues that medical leaders have a key role in the design, implementation and evaluation of healthcare reforms, and in translating these reforms for their colleagues. Second, this paper describes the origins and nature of Health LEADS Australia. Third, this paper discusses the importance of the goal of Health LEADS Australia and suggests the evidence-base underpinning the five foci in shaping medical leadership education and professional development. This paper concludes with suggestions on how Health LEADS Australia might be evaluated. – For the well-being of the Australian health system, doctors need to play an important role in the kind of leadership that makes measurable differences in the retention of clinical professions improves organisational cultures enhances the engagement of consumers and their careers is associated with better patient and public health outcomes effectively addresses health inequalities balances cost effectiveness with improved quality and safety and is sustainable. – This is the first article addressing Health LEADS Australia and medical leadership. Australia is actively engaging in a national approach to health leadership. Discussions about the mechanisms and intentions of this are valuable in both national and global health leadership discourses.
Publisher: Wiley
Date: 09-01-2020
DOI: 10.1111/AJAG.12761
Publisher: MDPI AG
Date: 28-12-2022
Abstract: Research on loneliness is extensive. This paper presents a systematic review of intervention studies, outlining the antecedents to, and consequences of loneliness in community-dwelling older people. Using PRISMA methodology, a systematic literature review was conducted between January and August 2021 resulting in 49 useable articles. Papers were included if they: (a) investigated older people (+50) (b) were living in community dwellings (c) had been published in English (d) had titles or abstracts available and, (e) were published between 2016 and 2021. This study found the antecedents and consequences of social, emotional and existential loneliness differ, however, the vast majority of research has not examined the unique types of loneliness and instead kept loneliness as a generic term, despite the acceptance that various types of loneliness exist. In addition, the findings of intervention studies identified through this review have yielded mixed results. Those interventions focused on improving personal and psycho-social resources for older people fared better outcomes than those focused on technological and social connections alone. This paper reports important implications for the future of research conducted on loneliness and interventions accordingly.
Publisher: Cambridge University Press (CUP)
Date: 11-2020
DOI: 10.1017/JMO.2020.42
Publisher: MDPI AG
Date: 07-09-2022
Abstract: Intergenerational practice programs provide purposeful interactions between generations. While research reports improved social and behavioral outcomes for cohorts, no study has explored both expert and potential consumer perceptions of the implementation of intergenerational practice programs. This study conducted a Delphi study of expert opinions, as well as a national survey of potential consumers (N = 1020), to provide critical insights into the potential barriers to implementing intergenerational practice programs. Results revealed that 71.3% of potential consumers would participate in intergenerational practice programs if they were available and experts agreed that the program was of benefit to both populations. However, there were shared concerns regarding the transport, safety, and outcomes of the program for participants. Based on our findings we offer several policy considerations in the implementation of intergenerational programs.
Publisher: Emerald
Date: 13-05-2014
Publisher: CSIRO Publishing
Date: 2017
DOI: 10.1071/AH16047
Abstract: Objective The aim of the present study was to develop a positive organisational scholarship in health care approach to health management, informed by health managers and health professionals’ experiences of brilliance in health care delivery. Methods A s le of postgraduate students with professional and/or management experience within a health service was invited to share their experiences of brilliant health services via online discussions and a survey running on the SurveyMonkey platform. A lexical analysis of student contributions was conducted using the in idual as the unit of analysis. Results Using lexical analysis, the examination of themes in the concept map, the relationships between themes and the relationships between concepts identified ‘care’ as the most important concept in recognising brilliance in health care, followed by the concepts of ‘staff’ and ‘patient’. Conclusions The research presents empirical material to support the emergence of an evidence-based health professional perspective of brilliance in health management. The findings support other studies that have drawn on both quantitative and qualitative materials to explore brilliance in health care. Pockets of brilliance have been previously identified as catalysts for changing health care systems. Both quality, seen as driven from the outside, and excellence, driven from within in iduals, are necessary to produce brilliance. What is known about the topic? The quest for brilliance in health care is not easy but essential to reinvigorating and energising health professionals to pursue the highest possible standards of health care delivery. What does this paper add? Using an innovative methodology, the present study identified the key drivers that health care professionals believe are vital to moving in the direction of identifying brilliant performance. What are the implications for practitioners? This work presents evidence on the perceptions of leadership and management practices associated with brilliant health management. Lessons learned from exceptionally well-delivered services contain different templates for change than those dealing with failures, errors, misconduct and the resulting negativity.
Publisher: Inderscience Publishers
Date: 2007
Publisher: Emerald
Date: 06-11-2017
Publisher: Dialectical Publishing
Date: 12-2014
Publisher: Springer Science and Business Media LLC
Date: 22-04-2016
DOI: 10.1007/S00425-016-2523-5
Abstract: Plants produce strigolactones with different structures and different stereospecificities which provides the potential for ersity and flexibility of function. Strigolactones (SLs) typically comprise a tricyclic ABC ring system linked through an enol-ether bridge to a butenolide D-ring. The stereochemistry of the butenolide ring is conserved but two alternative configurations of the B-C ring junction leads to two families of SLs, exemplified by strigol and orobanchol. Further modifications lead to production of many different strigolactones within each family. The D-ring structure is established by a carotenoid cleavage dioxygenase producing a single stereoisomer of carlactone, the likely precursor of all SLs. Subsequent oxidation involves cytochrome P450 enzymes of the MAX1 family. In rice, MAX1 enzymes act stereospecifically to produce 4-deoxyorobanchol and orobanchol. Strigol- and orobanchol-type SLs have different activities in the control of seed germination and shoot branching, depending on plant species. This can partly be explained by different stereospecificity of SL receptors which includes the KAI2/HTL protein family in parasitic plants and the D14 protein functioning in shoot development. Many studies use chemically synthesised SL analogues such as GR24 which is prepared as a racemic mixture of two stereoisomers, one with the same stereo-configuration as strigol, and the other its enantiomer, which does not correspond to any known SL. In Arabidopsis, these two stereoisomers are preferentially perceived by AtD14 and KAI2, respectively, which activate different developmental pathways. Thus caution should be exercised in the use of SL racemic mixtures, while conversely the use of specific stereoisomers can provide powerful tools and yield critical information about receptors and signalling pathways in operation.
Publisher: Springer Science and Business Media LLC
Date: 24-09-2018
Publisher: CSIRO Publishing
Date: 2017
DOI: 10.1071/AH16009
Abstract: Objective This paper describes the perceptions of operating theatre staff in Australia and The Netherlands regarding the influence of logistical or operational reasons that may affect the scheduling of unplanned surgical cases. It is proposed that logistical or operational issues can influence the priority determination of queue position of surgical cases on the emergency waiting list. Methods A questionnaire was developed and conducted in 15 hospitals across The Netherlands and Australia, targeting anaesthetists, managers, nurses and surgeons. Statistical analyses revolved around these four professional groups. Six hypotheses were then developed and tested based on the responses collected from the participants. Results There were significant differences in perceptions of logistics delay factors across different professional groups when patients were waiting for unplanned surgery. There were also significant differences among different groups when setting logistical priority factors for planning and scheduling unplanned cases. The hypotheses tests confirm these differences, and the findings concur with the paradigmatic differences mentioned in the literature. These paradigmatic differences among the four professional groups may explain some of the tensions encountered when making decisions about scheduling emergency surgical queues, and therefore should be taken into consideration for management of operating theatres. Conclusions Queue positions of patients waiting for unplanned surgery, or emergency surgery, are determined by medical clinicians according to clinicians’ indication of clinical priority. However, operating theatre managers are important in facilitating smooth operations when planning for emergency surgeries. It is necessary for surgeons to understand the logistical challenges faced by managers when requesting logistical priorities for their operations. What is known about the topic? Tensions exist about the efficient use of operating theatres and negotiating in idual surgeon’s demands, especially between surgeons and managers, because in many countries surgeons only work in the hospital and not for the hospital. What does this paper add? The present study examined the logistical effects on functionality and purports the notion that, while recognising the importance of clinical precedence, logistical factors influence queue order to ensure efficient use of operating theatre resources. What are the implications for practitioners? The results indicate that there are differences in the perceptions of healthcare professionals regarding the sequencing of emergency patients. These differences may lead to conflicts in the decision making process about triaging emergency or unplanned surgical cases. A clear understanding of the different perceptions of different functional groups may help address the conflicts that often arise in practice.
Publisher: Emerald
Date: 21-09-2015
DOI: 10.1108/JHOM-11-2013-0256
Abstract: – Positive organizational scholarship in healthcare (POSH) suggests that, to promote widespread improvement within health services, focusing on the good, the excellent, and the brilliant is as important as conventional approaches that focus on the negative, the problems, and the failures. POSH offers different opportunities to learn from and build resilient cultures of safety, innovation, and change. It is not separate from tried and tested approaches to health service improvement – but rather, it approaches this improvement differently. The paper aims to discuss these issues. – POSH, appreciative inquiry (AI) and reflective practice were used to inform an exploratory investigation of what is good, excellent, or brilliant health service management. – The researchers identified new characteristics of good healthcare and what it might take to have brilliant health service management, elucidated and refined POSH, and identified research opportunities that hold potential value for consumers, practitioners, and policymakers. – The secondary data used in this study offered limited contextual information. – This approach is a platform from which to: identify, investigate, and learn about brilliant health service management and inform theory and practice. – POSH can help to reveal what consumers and practitioners value about health services and how they prefer to engage with these services. – Using POSH, this paper examines what consumers and practitioners value about health services it also illustrates how brilliance can be theorized into health service management research and practice.
Publisher: Informa UK Limited
Date: 18-06-2018
Publisher: Informa UK Limited
Date: 23-09-2016
DOI: 10.1080/13607863.2016.1232368
Abstract: To identify the main drivers of the use of respite services and the need for respite services among caregivers of people experiencing dementia relative to family caregivers of people with other health conditions. Based on nationally representative secondary data regression analysis was used to test the association between selected health conditions and the utilisation of and need for respite services. For a person living with dementia the odds of using respite care are higher than for a person with either a musculoskeletal or circulatory condition. Family caregivers of people living with dementia report the odds of the need for more respite as 5.3 times higher than for family caregivers of people with musculoskeletal conditions and 7.7 times higher than for family caregivers of people with circulatory conditions. The main reason for never using respite services is largely driven by the type of health condition, age of care recipient, existence of a spouse, and level of disability. Respite services that cater to the specific needs of families experiencing dementia at home should become a higher priority within the aged care sector. Alternative models of respite care that focus on prevention and early intervention would be cost effective.
Publisher: Wiley
Date: 03-2017
DOI: 10.1002/AJS4.6
Publisher: Edward Elgar Publishing
Date: 20-10-2023
Publisher: Informa UK Limited
Date: 22-12-2018
Publisher: Emerald
Date: 23-05-2008
DOI: 10.1108/14777260810876303
Abstract: The purpose of the paper is to show that free flowing teamwork depends on at least three aspects of team life: functional ersity, social cohesion and superordinate identity. The paper takes the approach of a discussion, arguing for a strong need to understand multidisciplinary and cross‐functional barriers for achieving team goals in the context of health care. These barriers include a strong medically dominated business model, historically anchored delineations between professional identities and a complex organisational environment where in iduals may have conflicting goals. The paper finds that the complexity is exacerbated by the differences between and within health care teams. It illustrates the differences by presenting the case of an operating theatre team. Whilst the paper recommends some ideas for acquiring these skills, further research is needed to assess effectiveness and influence of team skills training on optimising multidisciplinary interdependence in the health care environment. The paper shows that becoming a team member requires team membership skills.
Publisher: Emerald
Date: 08-2005
DOI: 10.1108/09604520510606835
Abstract: The purpose of this article is to identify the key factors that impede service quality delivery in the context of luxury hotels (four‐ and five‐star properties) in Sydney, Australia. The empirical dataset for this qualitative study was collected through 22 in idual semi‐structured interviews with senior hotel managers of ten luxury hotels in Sydney, Australia. The technique used for analysing the data was progressive comparative analysis, after which constant comparative methodology was applied. The key themes emerging from these techniques have been categorised to form conclusions. Analysis of the data revealed a number of impediments to developing and maintaining distinguishable, superior service. These impediments fell into four broad areas: Budget constraints, Staff attitude, Lack of mentoring and High customer expectations. The limitations with the current study are primarily related to the scope of the research in terms of the number of hotel properties participating, and the fact that it incorporates the views of managers only. Furthermore, the focus of this study was on the hotel sector, and thus the findings cannot be accepted as being necessarily relevant and applicable to services across the tourism/hospitality industry as a whole. Future research needs to be conducted to incorporate the views of all stakeholders in service quality, including non‐management staff and customers. The findings of this research can inform hotel sector researchers and practitioners of identified impediments to service quality, whether current strategies are addressing these impediments and, if not, how strategies may be modified to address to achieve this.
Publisher: Australasian College of Health Service Management
Date: 08-04-2023
DOI: 10.24083/APJHM.V18I1.2053
Abstract: The resource-based view (RBV) theory is a widely accepted strategic management theory, particularly within private sector organisations. [1,2,3] However, within public healthcare settings, the level of empirical support available on the use and appropriateness of RBV within this environment is largely unchartered. Consequently, this paper aimed to further understand the level of evidence for the purpose of providing an insight into how it may be used to improve the efficiency and effectiveness of public health organisations. An extensive literature search returned a total of 859 studies. Of these, just 13 studies met the inclusion criteria of being an investigation of the use of RBV theory in public sector healthcare organisations. The analysis conducted demonstrates that while the use of RBV theory has been relatively slow, the benefits are positive. The practical application of RBV theory lies in strategically mapping the relationships between resources, capabilities, and public value, relevant to healthcare organisations, in order to gain and understand how public value is created to provide a competitive advantage and superior performance for the organisation.
Publisher: Edward Elgar Publishing
Date: 20-10-2023
Publisher: CSIRO Publishing
Date: 2006
DOI: 10.1071/AH060219
Abstract: Theatre use is heavily influenced by the presentation and scheduling of emergency cases for unplanned surgery. This research guided the development of a triage standard for scheduling emergency surgery in New South Wales public hospitals and aimed to contribute to a better understanding of decisionmaking practices. An emergency-surgery survey asked questions about urgency of a set of clinical conditions and appropriate time frames for patients to receive surgical treatment for these conditions. Surveys were distributed via 71 NSW public hospitals. A total of 198 decision makers responded: surgeons (42.8%), anaesthetists (24.7%), and nurses (32.5%). Principal component analysis was applied to reduce the data to three urgency classifications, and analysis of variance was used to assess variance of opinions between professional groups. The data suggested that the parameters that distinguish the codes (1, very urgent 2, semi-urgent 3, least urgent) were not unequivocally apparent. Although there was a consistent approach to the ?urgency 1? and ?urgency 3? categories, there were significant differences between responses when determining ?urgency 2?. The data indicated that when making decisions, anaesthetists act as intermediaries between surgeons and nurses. There was significant disparity between in iduals when respondents were asked to state an ideal time for the commencement of surgery and the maximum length of time that the surgery could wait. This presented a need for a risk assessment tool to be incorporated when developing a dynamic prototype triage instrument.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-564-1.CH004
Abstract: Commercialization activities combining the discoveries of one occupational group, such as scientists, with the commercial skills of managers involve interactions across occupational cultures. This chapter considers how dissent can be interpreted as a sign of dysfunction or cause for concern. The context of the study is temporary Australian hybrid industry-research organizations composed of academic, government, and industry personnel. Semi-structured interviews of twenty scientists, engineers, and managers focused on their experiences and perceptions of occupational culture, including styles of debate. Distinctive patterns of argumentation were identified as typical of commercial and research occupations. Extended argumentation contributed to knowledge creation, and played a role in maintaining a hierarchy among research institutions. Members of research and commercial occupational subcultures working in Australian CRCs reported frustration and reduced effectiveness of argumentation due to different norms for dissent. Initial expectations of similarity, built upon identification of occupational hierarchies, heighten the impact of these differences.
Publisher: Inderscience Publishers
Date: 2011
Publisher: IEEE
Date: 06-2006
Publisher: Wiley
Date: 09-2019
DOI: 10.1111/AJAG.12691
Abstract: To better understand the in idual journeys of people living with dementia and their carers through the Australian health-care system. Stories were collected from 25 participants, through five face-to-face workshops, across Australia. This produced 18 visual storyboards and a range of opportunities for improvement, which were then synthesised into an aggregated "ideal-journey" model. Several issues were identified: long lead times to diagnosis erse experiences of treatment and support and little coordination of care or thought for its impact on the consumer. Information about services, their purpose and eligibility criteria was difficult to obtain, and potential care pathways were largely unexplained. Much of the carer support received was reactive rather than proactive. A better understanding of the current health-care pathway of dementia is essential for the design and delivery of future health-care services. It is vital to include the consumer voice in future research and allocation of health-care resources.
Publisher: IGI Global
Date: 2012
DOI: 10.4018/978-1-4666-1836-7.CH009
Abstract: Interactions between professionals and managers are vital to medical and commercialization outcomes. This chapter considers how boundaries between professionals and managers are expressed through language in two contexts: between researchers and managers in temporary Australian hybrid industry-research organizations and within the same in idual performing a hybrid clinician-manager role in Australian health care organizations. Semi-structured interviews of twenty scientists, engineers, and managers, focusing on their experiences, and perceptions of occupational culture, revealed that language norms contributed to knowledge creation, and played a role in maintaining a hierarchy among research institutions. Semi-structured interviews of twenty doctors and managers, focusing on their perception and experience of the hybrid clinician manager’s role within health care organizations, revealed that professional identity influenced language norms used by doctors and managers and contributed to the tensions experienced in their interactions. Distinctive patterns of argumentation and language were identified as typical of commercial and research occupations and were also distinctive in doctors working in hybrid clinician manager’s roles. The scientists, engineers, and managers working in hybrid industry-research organizations and the doctors and managers working in health care organizations reported frustration and reduced effectiveness of argumentation due to different norms for dissent.
Publisher: Emerald
Date: 13-04-2015
DOI: 10.1108/JHOM-08-2013-0171
Abstract: – The purpose of this paper is to provide a retrospective analysis of computer simulation’s role in accelerating in idual innovation adoption decisions. The process innovation examined is Lean Systems Thinking, and the organizational context is the imaging department of an Australian public hospital. – Intrinsic case study methods including observation, interviews with radiology and emergency personnel about scheduling procedures, mapping patient appointment processes and document analysis were used over three years and then complemented with retrospective interviews with key hospital staff. The multiple data sources and methods were combined in a pragmatic and reflexive manner to explore an extreme case that provides potential to act as an instructive template for effective change. – Computer simulation of process change ideas offered by staff to improve patient-flow accelerated the adoption of the process changes, largely because animated computer simulation permitted experimentation (trialability), provided observable predictions of change results (observability) and minimized perceived risk. – The difficulty of making accurate comparisons between time periods in a health care setting is acknowledged. – This work has implications for policy, practice and theory, particularly for inducing the rapid diffusion of process innovations to address challenges facing health service organizations and national health systems. – The research demonstrates the value of animated computer simulation in presenting the need for change, identifying options, and predicting change outcomes and is the first work to indicate the importance of trialability, observability and risk reduction in in idual adoption decisions in health services.
Publisher: Cambridge University Press (CUP)
Date: 09-2009
DOI: 10.5172/JMO.15.4.423
Abstract: Commercialisation activities combining the discoveries of one occupational group, such as scientists, with the commercial skills of managers involve interactions across occupational and organisational cultures. This article explores the challenges posed by working across occupational and organisational boundaries, and describes management techniques developed informally in four Australian organisations to address barriers to knowledge transfer. It identifies the existence of Knowledge-stewarding Communities of Practice (CoP) that span organisational boundaries and impact commercialisation outcomes. It also presents recommendations for management practice based upon ersity management and innovation theories. The context of the study is Australian hybrid industry-research organisations composed of academic, government and industry personnel. Semi-structured interviews with a total of twenty scientists, engineers and managers focused on their experiences of knowledge sharing across organisational and occupational cultures, and methods used to manage these boundaries. The existence and efficacy of boundary-crossing in iduals and boundary object strategies are explored. A generic process management model of innovation is extended to acknowledge and accommodate occupational and organisational cultural proclivities towards exploration or exploitation, and to stimulate future research.
Publisher: Cambridge University Press (CUP)
Date: 12-10-2020
DOI: 10.1017/JMO.2020.16
Abstract: This paper proposes that the United Nation's sustainable development goals (SDGs) and associated targets form an effective framework for determining real-world research impact. Existing bibliometrics that assess the quality of academic work are usually quantitative and self-referential, reducing the focus on real-world issues. The same measurements are often adopted by funding bodies, pressuring researchers to increase compliance, and further reducing integrity and real-world impact. A series of world cafés were conducted, collecting data on how researchers, their institutions, and network organisations can contribute to, and measure research aligned with the SDGs and targets. The results showed that participants were generally positive towards using the SDGs and targets to measure impact and quality of academic research. Suggestions to assist greater adoption of the SDGs and targets as a measure of impact included: aligning governmental and institutional funding changing key performance indicators increasing cross-disciplinary work aligning mission/vision statements and legitimising SDG-focused projects at conferences.
Publisher: Emerald
Date: 19-09-2016
DOI: 10.1108/JHOM-07-2015-0109
Abstract: The purpose of this paper is to present lessons learnt through the development of an evaluation framework for a clinical redesign programme – the aim of which was to improve the patient journey through improved discharge practices within an Australian public hospital. The development of the evaluation framework involved three stages – namely, the analysis of secondary data relating to the discharge planning pathway the analysis of primary data including field-notes and interview transcripts on hospital processes and the triangulation of these data sets to devise the framework. The evaluation framework ensured that resource use, process management, patient satisfaction, and staff well-being and productivity were each connected with measures, targets, and the aim of clinical redesign programme. The application of business process management and a balanced scorecard enabled a different way of framing the evaluation, ensuring measurable outcomes were connected to inputs and outputs. Lessons learnt include: first, the importance of mixed-methods research to devise the framework and evaluate the redesigned processes second, the need for appropriate tools and resources to adequately capture change across the different domains of the redesign programme and third, the value of developing and applying an evaluative framework progressively. The evaluation framework is limited by its retrospective application to a clinical process redesign programme. This research supports benchmarking with national and international practices in relation to best practice healthcare redesign processes. Additionally, it provides a theoretical contribution on evaluating health services improvement and redesign initiatives.
Publisher: Cambridge University Press (CUP)
Date: 11-2020
DOI: 10.1017/JMO.2020.36
Abstract: In this editorial, we are delighted to introduce the seven papers in this Special Issue. Each article considers various aspects of how management research can assist in the achievement of the United Nations Sustainable Development Goals (SDGs) in different contexts. Starting from a desire to provide a mechanism to drive real research outcomes for management research, this editorial considers the SDGs and their implementation/adoption in universities and businesses to date. It then introduces the different contexts for management research and the SDGs explored in the seven articles in the Special Issue. Finally, in a Postscript at the end of this Special Issue, we look at current progress against the SDGs, how COVID-19 has impacted this progress and what the future may hold for the links between management research and the SDGs.
Publisher: Informa UK Limited
Date: 11-09-2021
Publisher: Informa UK Limited
Date: 02-04-2016
Publisher: Informa UK Limited
Date: 25-05-2018
DOI: 10.1080/13607863.2017.1330873
Abstract: To identify feasible models of intergenerational care programmes, that is, care of children and older people in a shared setting, to determine consumer preferences and willingness to pay. Feasible models were constructed in extensive consultations with a panel of experts using a Delphi technique (n = 23) and were considered based on their practical implementation within an Australian setting. This informed a survey tool that captured the preferences and willingness to pay for these models by potential consumers, when compared to the status quo. Information collected from the surveys (n = 816) was analysed using regression analysis to identify fundamental drivers of preferences and the prices consumers were willing to pay for intergenerational care programmes. The shared c us and visiting models were identified as feasible intergenerational care models. Key attributes of these models included respite day care a common educational pedagogy across generations screening monitoring and evaluation of participant outcomes. Although parents were more likely to take up intergenerational care compared to the status quo, adult carers reported a higher willingness to pay for these services. Educational attainment also influenced the likely uptake of intergenerational care. The results of this study show that there is demand for the shared c us and the visiting c us models among the Australian community. The findings support moves towards consumer-centric models of care, in line with national and international best practice. This consumer-centric approach is encapsulated in the intergenerational care model and enables greater choice of care to match different consumer demands.
Publisher: MDPI AG
Date: 07-10-2021
Abstract: The many changes that occur in the lives of older people put them at an increased risk of being socially isolated and lonely. Intergenerational programs for older adults and young children can potentially address this shortfall, because of the perceived benefit from generations interacting. This study explores whether there is an appetite in the community for intergenerational programs for community dwelling older adults. An online survey was distributed via social media, research team networks, and snowballing recruitment with access provided via QR code or hyperlink. Semi-structured interviews were undertaken with potential participants of a pilot intergenerational program planned for the Eastern Suburbs of Sydney, Australia in 2020. The interviews were thematically analyzed. Over 250 people completed the survey, and 21 interviews took place with older adults (10) and parents of young children (11). The data showed that participants were all in favor of intergenerational programs, but there were different perceptions about who benefits most and how. The study highlighted considerations to be addressed in the development of effective and sustainable intergenerational programs. For ex le, accessing people in the community who are most socially isolated and lonely was identified as a primary challenge. More evidence-based research is needed to support involvement of different cohorts, such as those who are frail, or living with physical or cognitive limitations.
Start Date: 03-2009
End Date: 03-2011
Amount: $75,000.00
Funder: Australian Research Council
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